Regional Ear Nose and Throat Associates

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

REGIONAL EAR NOSE AND THROAT ASSOCIATES

Practice address

204 Ark Rd
Suite 102
Mount Laurel, NJ 08054-3100

Phone

(856) 778-0559

NPI assigned

Dec 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roy D Carlson, M.D.NPI 1932142858

Title

VP

Phone

(856) 778-0559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Douglas Carlson, M.D.

  • Otolaryngology Physician
  • Mount Laurel, NJ
  • NPI 1932142858
  NPD (past) Authorized official
• David George Ansel, MD

  • Otolaryngology Physician
  • Mount Laurel, NJ
  • NPI 1306954474
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033271820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ARK RD",
            "address_2": "SUITE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK RD",
            "address_2": "SUITE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543100",
            "telephone_number": "856-778-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL EAR NOSE AND THROAT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "856-778-0559",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3540405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shraddha Rayamajhi, MD
• Reach Wellness
• Annette C Reboli, M.D.
• Sharay Redden, APRN
• Corrie Redfearn, BCBA
• Regional Primary Care and Acupuncture
• Regional Women's Health Group, LLC (Cherry Hill Gynecology Asso)
• Regional Womens Health Group LLC (RWHG Richard Tucker DO)
• Patrick Rehder
• Heather Reigner

• Otolaryngology Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.